CETIRIZINE HCL 5MG/5ML (SF) SYRUP (12480)    VA PRODUCT (50.68)

Name Value
NAME CETIRIZINE HCL 5MG/5ML (SF) SYRUP
VA GENERIC NAME CETIRIZINE
DOSAGE FORM SYRUP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2002-11-07 00:00:00
UNITS MG/5ML
DSS NUMBER 3
NATIONAL FORMULARY NAME CETIRIZINE SYRUP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CETIRIZINE HCL 5MG/5ML (SF) SYRUP
VA PRODUCT IDENTIFIER C0728
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4012846
EFFECTIVE DATE/TIME
  • 2002-11-07 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE